Laurence A Sibrack (NPI# 1396740643, PAC ID# 3072676758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1396740643 |
| PAC ID by PECOS | 3072676758 |
| Professional Enrollment ID | I20110217000329 |
| Full Name | Laurence A Sibrack |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF WESTERN CONNECTICUT, PC |
| Address |
170 Mount Pleasant Rd Suite 201 Newtown CT 06470-1408 |
| Phone Number | 20379241512113 |
| Gender | M |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1974 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6507804671 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 120 Park Lane Rd, Suite A203, New Milford, CT 06776-2445 | 2037924151 | DERMATOLOGY ASSOCIATES OF WESTERN CONNECTICUT, PC |
| 170 Mount Pleasant Rd, Suite 201, Newtown, CT 06470-1408 | 20379241512113 | DERMATOLOGY ASSOCIATES OF WESTERN CONNECTICUT, PC |
| Organization Legal Name | DERMATOLOGY ASSOCIATES OF WESTERN CONNECTICUT, PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caroline L Larosa | Dermatology | Dermatology Associates of Western Connecticut, PC | 77 Main N St, Suite 107, Southbury, CT 06488-2200 |
| Kimberly M Eickhorst | Dermatology | Dermatology Associates of Western Connecticut, PC | 170 Mount Pleasant Rd, Suite 201, Newtown, CT 06470-1408 |
| Beth A Buscher | Dermatology | Dermatology Associates of Western Connecticut, PC | 120 Park Lane Rd, Suite A203, New Milford, CT 06776-2445 |
| Carmela Jeanine Luzi | Physician Assistant | Dermatology Associates of Western Connecticut, PC | 170 Mount Pleasant Rd, Suite 201, Newtown, CT 06470-1408 |
| Jeffrey D Knispel | Dermatology | Dermatology Associates of Western Connecticut, PC | 10 S St, Suite 204, Ridgefield, CT 06877-4126 |
| Alicia D Zalka | Dermatology | Dermatology Associates of Western Connecticut, PC | 170 Mount Pleasant Rd, Suite 201, Newtown, CT 06470-1408 |
| Peter W Heald | Dermatology | Dermatology Associates of Western Connecticut, PC | 120 Park Lane Rd, Suite A 203, New Milford, CT 06776-2428 |
| Street Address |
170 MOUNT PLEASANT RD SUITE 201 |
| City | NEWTOWN |
| State | CT |
| Zip | 06470-1408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Olsen | Physician Assistant | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Raymond Raut | Nephrology | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Andrea Roche Recinos | Nephrology | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Kimberly M Eickhorst | Dermatology | Dermatology Associates of Western Connecticut, PC | 170 Mount Pleasant Rd, Suite 201, Newtown, CT 06470-1408 |
| Maura Conway | Family Medicine | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Guillermo J Ballarino | Pulmonary Disease | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Nya A Rossi | Physician Assistant | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Carmela Jeanine Luzi | Physician Assistant | Dermatology Associates of Western Connecticut, PC | 170 Mount Pleasant Rd, Suite 201, Newtown, CT 06470-1408 |
| David Shapiro | Internal Medicine | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Winston Y Shih | Nephrology | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernadette T Mcsweeney | Clinical Social Worker | 4 E St, Newtown, CT 06470-1340 | |
| Michelle Nisenbaum | Physical Medicine and Rehabilitation | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Eurica Y Chang | Family Medicine | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Alicia D Zalka | Dermatology | Dermatology Associates of Western Connecticut, PC | 170 Mount Pleasant Rd, Suite 201, Newtown, CT 06470-1408 |
| Lorene S Damato | Physician Assistant | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Debra Morton | Clinical Social Worker | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Panupong Lisawat | Nephrology | Western Connecticut Medical Group Inc | 170 Mount Pleasant Rd, Newtown, CT 06470-1408 |
| Michael Hungerman | Clinical Psychologist | 8 Fairchild Rd, Newtown, CT 06470-1410 | |
| Karin W Labanca | Physical Therapy | 141 Mount Pleasant Rd, Newtown, CT 06470-1438 | |
| Ashley Marie Witson | Physical Therapy | Fisio Physical Therapy and Wellness, LLC | 141 Mount Pleasant Rd, Newtown, CT 06470-1438 |
| Find all physicians in zip 06470 | |||
| City | NEWTOWN |
| Zip Code | 06470 |
| Specialty | DERMATOLOGY |
| City + Specialty | NEWTOWN + DERMATOLOGY |
Please comment or provide details below to improve the information on Laurence A Sibrack.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.